Provider Demographics
NPI:1518856954
Name:LITTLE LOVE LACTATION, LLC
Entity type:Organization
Organization Name:LITTLE LOVE LACTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:RACHAEL
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:FAUSTINO
Authorized Official - Suffix:
Authorized Official - Credentials:CPNP, IBCLC
Authorized Official - Phone:914-384-4149
Mailing Address - Street 1:3498 LAKESIDE DR
Mailing Address - Street 2:
Mailing Address - City:MOHEGAN LAKE
Mailing Address - State:NY
Mailing Address - Zip Code:10547-1354
Mailing Address - Country:US
Mailing Address - Phone:914-434-4689
Mailing Address - Fax:914-434-4689
Practice Address - Street 1:3498 LAKESIDE DR
Practice Address - Street 2:
Practice Address - City:MOHEGAN LAKE
Practice Address - State:NY
Practice Address - Zip Code:10547-1354
Practice Address - Country:US
Practice Address - Phone:914-384-4149
Practice Address - Fax:914-384-4149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Multi-Specialty